Managing Nocturnal Wandering Behavior

Young, Sarah; Muir-Nash, Joanne; Ninos, Mary

doi:10.3928/0098-9134-19880501-04

Cited by 26 publications

(6 citation statements)

References 11 publications

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“…The second was a sensory integration program (emphasising bodily responses, sensory stimulation and cognitive stimulation) and had no effect on behaviour 110 . Similarly, a small RCT of white noise for sleep disturbance and nocturnal wandering found no effect 111 . A study of "expressive physical touch" (10 days of 5.5 minutes of touching -gentle massage for 2.5 minutes and 3 minutes of intermittent touching with some talking) decreased disturbed behaviour from baseline immediately and for 5 days after the intervention 112 .…”

Section: Other Sensory Stimulation (See Table 8)mentioning

confidence: 98%

Systematic Review of Psychological Approaches to the Management of Neuropsychiatric Symptoms of Dementia

Livingston¹,

Johnston²,

Katona³

et al. 2005

AJP

509

375

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Only behavior management therapies, specific types of caregiver and residential care staff education, and possibly cognitive stimulation appear to have lasting effectiveness for the management of dementia-associated neuropsychiatric symptoms. Lack of evidence regarding other therapies is not evidence of lack of efficacy. Conclusions are limited because of the paucity of high-quality research (only nine level-1 studies were identified). More high-quality investigation is needed.

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Section: Other Sensory Stimulation (See Table 8)mentioning

confidence: 98%

Systematic Review of Psychological Approaches to the Management of Neuropsychiatric Symptoms of Dementia

Livingston¹,

Johnston²,

Katona³

et al. 2005

AJP

509

375

View full text Add to dashboard Cite

show abstract

“…Research related to the use of white noise (i.e., low intensity, slowly rhythmic and monotonous sounds) has produced modest results. When white noise was used to decrease nocturnal wandering, only two of eight subjects improved (Young, Muir-Nash, & Ninos, 1988 [113]), whereas when individualized white noise audiotapes were employed for the treatment of verbal agitation in severely demented nursing home residents, Burgio and associates (1996 [29]) found a 23% reduction in verbal agitation. This improvement was achieved despite the fact that treatment integrity data revealed the audiotapes were used during only 51% of the observations.…”

Section: Need For Biobehavioral Interventionsmentioning

confidence: 99%

Managing Cognitive Impairment in the Elderly: Conceptual, Intervention and Methodological Issues

Buckwalter¹,

Stolley²,

Farran³

1999

Worldviews on Evidence-based Nursing presents the archives of O

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Purpose (1) With the aging of society, the incidence of dementia in the elderly is also increasing, and thus results in increased numbers of individuals with cognitive impairment. Nurses and other researchers have investigated issues concerning the management of cognitive impairment. This article highlights conceptual, intervention and methodological issues associated with this phenomenon. Conclusion (2) Cognitive change is a multivariate construct that includes alterations in a variety of information processing mechanisms such as problem solving ability, memory, perception, attention and learning, and judgement. Although there is a large body of research, conceptual, intervention and methodological issues remain. Much of the clinical research on cognitive impairment is atheoretical, with this issue only recently being addressed. While many clinical interventions have been proposed, few have been adequately tested. There are also various methodological concerns, such as small sample sizes and limited statistical power; study design issues (experimental vs. non‐experimental), and internal and external validity problems. Clearly, additional research designed to intervene with these difficult behaviors is needed. Implication (3) A variety of psychosocial, environmental and physical parameters must be considered in the nursing care of persons with cognitive impairment. Special attention has been given to interventions associated with disruptive behaviors. Interventions are complex and knowledge must be integrated from both the biomedical and behavioral sciences in order to deal effectively with the numerous problems that can arise over a long and changing clinical course. Some researchers and clinicians have suggested that a new culture regarding dementia care is needed, one that focuses on changing attitudes and beliefs about persons with dementia and one that changes how organizations deliver that care. This review identifies key conceptual, intervention and methodological issues and recommends how these issues might be addressed in the future.

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“…The use of white noise is believed to induce relaxation and sleep and thereby decrease nocturnal restlessness. Positive results have been reported in some, but not all, cases (19,20).…”

Section: Massage/touchmentioning

confidence: 81%

Nonpharmacologic Interventions for Inappropriate Behaviors in Dementia: A Review, Summary, and Critique

Cohen‐Mansfield

2004

FOC

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Inappropriate behaviors are very common in dementia and impose an enormous toll both emotionally and financially. These behaviors increase suffering for the person with dementia and burden for caregivers; they prompt utilization of more restrictive care, and result in the application of both pharmacologic and nonpharmacologic treatments. For the purpose of this article, inappropriate behaviors will be defined as "inappropriate verbal, vocal, or motor activity that is not judged by an outside observer to be an obvious outcome of the needs or confusion of the individual" (1). These behaviors have been labeled problem behaviors, disruptive behaviors, disturbing behaviors, behavioral problems, and agitation, all of which are used interchangeably in this article. Inappropriate behaviors may result from depressed affect, but the term refers specifically to observable behavior, rather than internal states. Similarly, delusions and hallucinations are only included to the extent that these are manifested as inappropriate behavior; the core manifestation (i.e., the misinterpretation of reality) is not. Inappropriate behaviors have been divided into four main subtypes (2): 1) physically aggressive behaviors, such as hitting, kicking or biting; 2) physically nonaggressive behaviors, such as Inappropriate behaviors are very common in dementia and impose an enormous toll both emotionally and financially. Three main psychosocial theoretical models have generally been utilized to explain inappropriate behaviors in dementia: the "unmet needs" model, a behavioral/learning model, and an environmental vulnerability/reduced stress-threshold model. A literature search yielded 83 nonpharmacological intervention studies, which utilized the following categories of interventions: sensory, social contact (real or simulated), behavior therapy, staff training, structured activities, environmental interventions, medical/nursing care interventions, and combination therapies. The majority are reported to have a positive, albeit not always significant, impact. Better matching of the available interventions to patients' needs and capabilities may result in greater benefits to patients and their caregivers.

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Managing Nocturnal Wandering Behavior

Abstract: Nocturnal wandering is one of the most trying problems for Alzheimer victims and their families.

Cited by 26 publications

References 11 publications

Systematic Review of Psychological Approaches to the Management of Neuropsychiatric Symptoms of Dementia

Systematic Review of Psychological Approaches to the Management of Neuropsychiatric Symptoms of Dementia

Managing Cognitive Impairment in the Elderly: Conceptual, Intervention and Methodological Issues

Nonpharmacologic Interventions for Inappropriate Behaviors in Dementia: A Review, Summary, and Critique

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